Borrelia spp.

*00* 79. Microscopy of the blood smear stained by Romanovsky-Giemsa showed thin, bluish-violet filaments with 5-7 large curls 10-30 micrometers and more long. What disease can be characterized by such microscopic picture?

A. Leishmaniasis.

B. Syphilis.

C. Leptospirosis.

D. Toxoplasmosis.

E. Relapsing fever.

120. To an infectious clinic a patient with preliminary diagnosed epidemic relapsing fever is hospitalized. What material, taken from the patient, is it necessary to examine first of all?

A. Blood.

B. Urine.

C. Spinal fluid.

D. Feces.

E. Nasopharynx swab.

*01* 139. A patient with a periodically repeating fever is hospitalized to an infectious department. In blood specimen (a thick drop), stained by Romanovsky-Giemsa method, spiral microorganisms with sharp ends of blue-violet color are revealed. Which disease is caused by this agent?

A. Relapsing fever.

B.Typhoid fever.

C.Malaria.

D. Epidemic typhus.

E.Leptospirosis.

*From patient with suspicious relapsing fever blood was taken during fever. A smear “thick drop” was prepared for bacterioscopy. Which method of staining should be used for causative agent revealing?

By Ziehl-Neelsen

By Romanowsky-Giemsa

By Burri-Hins

By Neisser

By Aujesky

*What sanitary-epidemiological measure allows to decrease suddenly morbidity rate for epidemic relapsing fever?

Fight with pediculosis (lice)

Extermination of wild rodents

Disinfestations (extermination of animals)

Insecticide usage

Acaricide usage (fight with ticks)

*02* After patient examination a diagnosis – tick-born relapsing fever (borreliosis). Which way might patient be infected?

Through bite of malarial mosquito

*through bite of country tick

Through bite of dog tick

Through bite of taiga tick

Through bite of mosquito

* Lyme borreliosis (Lyme disease) was revealed in endemic regions of the USA first, but now it is registered in Europe, Asia and Australia. Which way is Lyme borreliosis transmitted?

Via hemotransfusion

Via tick bite

After contact with rodent’s urine

At eating of waterfowl meat

Via louse bite

Leptospira interrogans

*06, 07* 165. A patient was hospitalized on the 5^th day of illness with jaundice signs, pain in muscles, rigor, nose bleeding. A bacteriologist used dark-field microscopy. In the patient's blood there have been revealed motile spiral microorganisms. Name the causative agent.

A. Bartonella bacilloformis.

B. Borrelia duttoni.

C. Calymmatobacterium granulomatis.

D.Leptospira interrogans

E. Rickettsia mooseri.

173. In the endemic region of leptospirosis the population is ill with this dangerous illness. What source of the infection is the most dangerous?

A. Rodents.

B.Dairy products.

C.Cattle.

D.Meat products.

E. Ticks.

* There have been motile microorganisms with many small coils stained pink by Romanowsky-Giemsa in urine of patient with signs of intoxication and renal failure. History revealed that patient swam in water reservoir some days ago. Which disease may be suspected?

Leptospirosis

Syphilis

Influenza

Brucellosis

Pseudotuberculosis

Campylobacter/Helicobacter

149. During fibrogastroscopy there was taken mucosa biopsy material in the site of the ulcer of a patient with stomach ulcer. In the Gram-stained touch smear there were revealed Gram-negative curved microorganisms. With the rest biopsy material urease test had been made. This test was positive. What bacteria have been revealed?

A. Campylobacter jejuni.

B. Spirilla minor.

C. Shigella flexneri.

D. Treponema pallidum.

E. Helicobacter pylori.

143. A doctor has suggested a patient to make bacteriological analysis to detect the causative agent of gastric ulcer. What microorganisms can be isolated?

A. Salmonellae.

B. Listeria.

C. Leptospires.

D. Helicobacter pylori.

E. Shigellae.

122. A 28-year-old patient with moderate intoxication and bloody diarrhea is hospitalized. Stool culture revealed curved Gram-negative bacteria — microaerophils, catalase-positive, urease-positive, without spores and capsules, motile. Which bacteria are characterized by these properties?

A. Proteus mirabilis.

B. Escherichia coli.

C. Haemophilus influenzae.

D.Helicobacter pylori.

E.Salmonella typhi.

* A man, 45 years old, has been diagnosed with peptic ulcer disease after X-ray examination. Which nutrient medium is biopsy sample inoculated for bacteriological confirmation of diagnosis?

Blood agar

Nutrient medium for urease revealing

Endo medium

Ploskirev medium

Meat-peptone agar

Chlamidia

* Chlamidia trachomatis has been isolated from genital tract of 35years old man, suffering from chronic urethritis. What organs may this causative agent damage else?

Kidney

Joints

Eyes

Central nervous system

Gastro-intestinal tract

* Which method of investigation is the most informable to control recovery after chlamydial infection?

Direct immunofluorescence

Antibody titer detection with ELISA

Polymerase chain reaction

Western-blot

Smear microscopy

Rickettsia

* A patient, 55 years old, with typical rash, fever, and giddiness was admitted to hospital. A previous diagnosis “epidemic typhus” was made. No more same cases were registered. In youth (15 years) he had typhus in board school. Which disease may be told about?

Enteric fever

Measles

Rubella

Cholera

Brill’s disease

Pathogenic fungi : Candida

*07* 147. On the mucous membrane of cheeks and tongue of a child albescent stains were revealed. In the prepared smears Gram-positive oval yeast-like cells are found. What causative agent is this?

A. Corinebacterium diphtheriae.

B. Staphylococci.

C. Fungi of Candida genus,

D. Actinomycetes.

E. Fusobacteria.

*08* Microscopic examination of a Gram-stained scrape from patient’s tongue revealed oval, round elongated chains of dark-violet gemmating cells. What disease can be caused by this causative agent?

Diphtheria

Candidosis

Staphylococcal infection

Actinomycosis

Streptococcal infection

124. The scraping of albescent fur from oral cavity mucous membranes was sent to a laboratory. The material was inoculated onto Sabouraud's medium. Sour cream-like colonies' growth was revealed. Bacterioscopic method has shown short budding strings. What group of infections can we refer this disease to?

A. Mycosis.

B.Spirochetosis.

C.Rickettsiosis.

D. Mycoplasmosis.

E.Chlamidiosis.

*113. A pediatrician examining a 3-month-old child has noticed that the mucous membrane of the oral cavity and the tongue are covered with dense whitish fur. In the material taken from the site of affection a bacteriologist has revealed yeast. What mycosis will he suspect in this case?

A. Actinomycosis.

B. Favus.

C. Epidermophytia.

D. Candidiasis.

E.Trichophytosis

A child was hospitalized to a clinic. On the mucous membrane of cheeks, palate, and tongue there was revealed white and yellowish fur typical of candidiasis. What material should be taken for examination?

A. White exudates (plaques) from different sites of oral cavity.

B. Hair and nails.

C. Blood.

D. Mucus from nasopharynx.

E.Urine.

35. Candidosis of the oral cavity of a child is diagnosed. What preparation should be used for treatment?

A. Cifran.

B. Gentamycin.

C.Penicillin sodium salt.

D.Tetracycline hydrochloride.

E. Nystatin.

78. Microscopy of the smear of vaginal discharges of a woman with chronic colpovaginitis revealed round and oval budding cells 3-6 micrometers in size. Name the fungal disease, which can be caused by these microorganisms.

A. Epidermophytium.

B.Coccidiosis.

C.Candidosis.

D. Microsporia.

E.Cryptococcosis.

26. A pregnant woman complained of itching and genital tracts discharges. Bacterioscopy of vaginal discharges smear showed big Gram-positive oval oblong cells which form pseudomycelium. What is the most plausible causative agent of the disease?

A. Staphylococci.

B.Fungi of Candida genus.

C. Streptococci.

D.Diplococci.

E. Sarcina.

*05*Gram-positive big oval cells with budding chaotically located and elongated cells arranged in chains have been isolated from mucous membrane of a patient, which has been treated with immunosuppressive drugs for a long time. Which causative agent was isolated?

Streptobacteria

Streptococci

Actynomyces

Yersinia

Candida

* After long-lasting treatment with antibiotics signs of stomatitis have developed in a patient. There were oval pleomorphic Gram-positive cells that arranged in clusters in smears prepared from mucous membrane of oral cavity. Which from listed later microorganisms might be reason of such appearance?

C.albicans

C.perfringens

S.aureus

S.pyogenes

C.pylori

*03* At microscopy of patient’s hair taken from damaged places there were mycelium fragments, spores, air bubbles and lipid droplets. What fungal disease is such microscopy appearance is typical for?

*Favus (crusted ringworm)

Trichophytosis

Epidermophytosis

Microsporia

Sporotrychosis